DEVELOPMENT AND VALIDITY OF THE DISORDERED EATING ATTITUDE SCALE (DEAS)

The aim of this study was to develop and validate the Disordered Eating Attitude Scale to measure disordered eating attitudes, defined as abnormal beliefs, thoughts, feelings, behaviors, and relationship regarding food. Exploratory factor analysis was performed and internal consistency assessed in a sample of female university students (N=196). Convergent validity was acceptable based on statistically significant correlations with the Eating Attitude Test-26 and Restraint Scale. Known-groups validity was determined by comparing the student sample`s mean scores against scores of an eating disorder group (N=51). The Disordered Eating Attitude Scale comprises 25 questions and five subscales explaining 54.3% of total variance. The total scores differentiated student, bulimia, and anorexia groups. The scale should prove useful for evaluating eating attitudes in various population groups and eating disordered patients.

Omvårdnad vid förstoppning hos dementa personer : undersköterskors och vårdbiträdens reflektioner

Constipation is a common problem for people with dementia and it may result in discomfort, suffering and lower quality of life. Nurses in municipal nursing homes have difficult to observe and prevent these problems because they do not participate in the daily caring work. The aim of this study was to illustrate the nurse assistants’ reflections about the care they gave people with dementia and constipation. Main questions vas how they became aware of such problems and what they did when someone had problem with constipation. It also asked about their methods to prevent constipation and if they thought anything could be done better in the future. The method used was a qualitative interview study. The study included eight nurse assistants who worked in municipal nursing homes for people with dementia. The interviews where tape recorded, then written and analysed with a phenomenological method. The result illustrate how the nurse assistants used their sense for observing and their personal feelings to share the experience with the person. This gave trust and renders possibility to get knowledge and also gave opportunity to prevent problems and give help, in a way that not reduced dignity for the person. Bowel control, fluid, food and the possibility to get out for a walk was important. It was also important to have enough time for sharing reflections. Small units gave possibility to personal knowledge.

Livssituationen för föräldrar vars barn drabbats av cancer : En systematisk litteraturstudie

I Sverige insjuknar årligen ungefär 300 barn och ungdomar i någon cancersjukdom. Cancer hos barn ansågs tidigare som någonting obotligt. De senaste årtiondenas medicinska framsteg har dock radikalt förändrat perspektivet på barncancer. I dag vet vi att två av tre barn blir botade. Förutom medicinskt - tekniskt kunnande är det också nödvändigt med ett riktigt omhändertagande och en god omvårdnad av patienten och familjen. Syftet med denna studie var att beskriva livssituationen för föräldrar vars barn drabbats av cancer. Studien utfördes med hjälp av 18 vetenskapliga artiklar från åren 1998 till 2006. Sökorden som använts var: children, cancer, childhood cancer, parents, parenting, families, wellbeing, stressors, coping, nursing. Resultatet visade att föräldrarna upplevde barnets cancersjukdom som att hamna i ett chocktillstånd. Föräldrarna upplevde en vånda att behöva se sitt sjuka barn lida. Sjukdomen drabbade föräldrarna både gemensamt och individuellt. Rollerna inom familjen genomgick ofta förändringar. Modern övertog ofta det största ansvaret för det sjuka barnet och fadern skötte försörjningen. Olika barriärer som barnets sjukdom och behandling medförde gjorde det svårt att upprätthålla ett normalt familjeliv. Det bästa stödet fick familjen genom varandra och sjukdomen förde dem samman på ett annat sätt än tidigare. För att hantera situationen använde sig familjen av olika copingstrategier som kunde växla över tid. Ett bra samarbete med vårdpersonalen var mycket viktigt för familjen.

Liten men stor : - om barn med övervikt

Syfte: Att ta reda på vilka uppfattningar föräldrar har kring deras barns övervikt och hur vårdpersonal ser på omvårdnaden av barn med övervikt. Samt att belysa vilket samband som finns mellan en osund livsstil och barn med övervikt. Design: En systematisk litteraturstudie med deskriptiv ansats. Inkluderade artiklarna i studien var både kvantitativa och kvalitativa och kommer från databaserna Pubmed och Cinahl. Resultat: Stillasittande aktiviteter ökar risken för övervikt medan deltagande i någon fysisk aktivitet dagligen minskar risken för övervikt. Det finns en signifikant betydelse mellan övervikt och barn som idrottar mindre än tre timmar per vecka. Barn som inte äter frukost löper 50 % större risk att bli överviktig än de barn som äter frukost. Att hoppa över skollunchen är direkt relaterat till övervikt. När föräldrar söker hjälp av sjukvården för sitt överviktiga barn, har de redan prövat att ändra kosten och uppmuntra till fysisk aktivitet hemma. När föräldrarna söker hjälp är några av deras uppfattningar att sjukvården inte vet vad de ska göra för att hjälpa barnen med övervikt eller att sjukvården är hjälpsamma. Sjuksköterskorna kände sig inte tillräckligt kompetenta till att rekommendera viktminskningsprogram och att det var svårt att ge sådana råd till föräldrarna Vårdpersonalen kände att det var viktigt att prata om kost, men att vissa mammor tyckte att ämnet var känsligt att prata om. Det som hjälpte i förebyggande arbete eller i behandling var att jobba i små steg med kortsiktiga mål.

In Bio-Fuel We Trust

In bio-fuel we trust. Or do we? In this chapter, ethnographic material from Sweden is used to discuss ways sin which trust may influence the choice of bio-fuel for heating purposes. The meaning and substance of trust or distrust, as well as the very conditions for trust, are elaborated on in relation to solar and bio-pellet systems, district heating with bio-fuel, and traditional fireplaces. An important conclusion of this chapter is that the degree to which people perceive others as being like themselves or not tends to be decisive for whether these others are to be trusted, and therefore worth listening to. The context and situation in which a certain heating system is being chosen does not only involve trust in individuals, however, but in companies and the authorities, as well as in the arterfacts themselves. An example is given on how distrust of district heating companies led house owners to reject an offer of district heating despite the comfort and environmental benefit this could have provided. it is shown how this distrust might be resolved by making the rhythm of households and sitrict heating companies more in step with one another. The strong emotional attachment to and deep-felt trust in the traditional fireplace is also analysed, and a question is put forward as to whether these feelings could be transferred to modern bio-pellet stoves. Finally, our great and assured trust in bio-fuel as a main solution to global climate change is shortly commented upon and partly questioned.

Tidig föräldrastress hos mammor med för tidigt födda barn

Bakgrund: Att bli mamma till ett för tidigt fött barn (<37 gestationsveckor) innebär en oväntad stress vilket påverkar hela familjen. Under de senaste årtionden har stora förbättringar skett inom perinatal vård och numera är chansen till överlevnad stor. Att barnet efter födseln vårdas på neonatal intensivvårdsavdelning (NICU) får konsekvenser för mamman både känslomässigt och i omvårdnaden av barnet. Syfte: Att undersöka föräldrastress och beskriva faktorer som påverkar tidig föräldrastress hos mammor till för tidigt födda barn när barnet är två månader i korrigerad ålder. Metod: Studien utfördes på fyra NICU i Sverige. Inklusionskriterierna för studien var att barnet var för tidigt fött samt vårdades på neonatalavdelning i minst 72 timmar. För att mäta upplevd föräldrastress fick mammorna (n=276) svara på enkäten Swedish Parental Stress Questionnaire (SPSQ) när barnet var två månader i korrigerad ålder. Resultat: Mammor vars barn inte vårdades på en samvårdsavdelning, som hade barn i kuvös, mammor till barn med äldre syskon, var äldre, rökte och/eller ammade helt upplevde mer föräldrastress än övriga mammor. Slutsats: Studien visar att faktorer i framför allt i miljön samt hos mamman har betydelse för upplevd föräldrastress. Våra resultat innebär att omhändertagandet bör bli bättre, både under tiden på neonatalavdelning men även efter utskrivning. Då studien också påvisar vikten av samvårdsavdelning bör förbättringar ske i den fysiska vårdmiljön för att minimera upplevelsen av föräldrastress.

Att vårda patienter i rättspsykiatrisk vård som uppvisar självskadebeteende : sjuksköterskors erfarenheter och upplevelser

Deliberate self harm as defined pathologically as well as socially is becoming an increasing phenomenon within forensic psychiatry. Nurses working with patients who have self harm behaviour and are confined to forensic psychiatry face different challenges which affect their feelings and attitudes in different ways, in their nursing practice. Purpose: To explore nurses’ experiences of caring for patients who suffer from deliberate self harm behaviour and are confined to forensic psychiatry. Method: Qualitative semi- structured interview s from eight nurses working within the forensic psychiatric clinic. Interviews were analysed by using a qualitative content analysis. Results: They worked strategically and emphasized the importance of teamwork, good communication and urged for the need to get necessary education, staff focused tutoring and patient focused therapy. Conclusion: Need for necessary education, patient focused therapy and staff focused tutor is needed to empower staff working with patients who are confined within forensic psychiatry and suffer from deliberate self harm behaviour.

Ambiguous Artefacts : Solar Collectors in Swedish Contexts. On Processes of Cultural Modification

This is a book about solar collectors and the place of these artefacts in a political energy debate that has aroused strong feelings in Sweden during the last twenty-five years. It is a book about the hopes for a less polluted earth, which solar collectors have come to symbolise, and a book about the ways in which problems in utilising solar energy are culturally perceived. One main aims of this study has been to find out more about the conflicting perceptions of solar collectors as 'saviours of the world' and simultaneously as uninteresting or less credible artefacts that 'may come in the future'. Another main purpose of the study has been to describe and explain those cultural processes of modification that are taking place around solar collectors in active attempts to integrate these into established cultural structures.

How to make active interactions in Japanese as a second language.

This paper analyzes Japanese language classes at Dalarna University in Sweden that are held through a web conferencing system. It discusses how students’ learning and language acquisition can be supported by making better use of the available features of using a web conferencing system for language lessons. Of particular interest is the existence of an “information gap” among students, created because of the limits posed by distance communication. Students who take Japanese courses at Dalarna University usually access classes from their home, which are located all over Sweden or even abroad. This fact can be utilized in language classes because the “information gap” can lead to interactions that are essential for language learning. In order to make use of this natural “information gap” and turn it into an opportunity for communication, our classes used a teaching method called “personalization” [Kawaguchi, 2004].  “Personalization” aims to persuade students to express their own ideas, opinions, feelings and preferences. The present analysis suggests that “personalization” in web-based language classes is a surprisingly effective teaching method. By making students explain about things at home (why they have them, what they use them for, or why they are important), students become motivated to express themselves in Japanese. This makes communication meaningful and enhances students’ interest in improving their vocabulary. Furthermore, by knowing each other, it becomes easier to create a ”supportive classroom environment” [Nuibe, 2001] in which students feel able to express themselves. The analysis suggests that that web-based education can be seen not simply as a supplement to traditional face-to face classroom education, but as a unique and effective educational platform in itself.

L’évolution du français par rapport à l’histoire et en comparaison avec celle du suédois

Une langue est comme un être vivant. Elle porte les traces des avis, des sentiments, de la joie et des déceptions de nos ancêtres. En même temps elle reflète les toutes tous derniers modes de vie et la manière de penser et d’agir dans la vie quotidienne. Ce sont sa grammaire, ses mots, ses proverbes et ses citations qui en témoignent. Ses sons soulignés par l’intonation et la prosodie nous laissent presque deviner l’esprit de vitalité, de mélancolie ou d’élégance de la langue et de ces locuteurs. Mais est-ce qu’il est possible de trouver aussi les traces des événements historiques et sociaux dans l’évolution d’une langue? Cette question est centrale dans ce mémoire qui suit l’évolution du français à partir du latin parlé dans l’Antiquité et en comparaison avec celle d’autres langues notamment celle du suédois.

Film som kommunikation : En studie av gymnasieungdomars filmarbete

The starting point for this work was a discussion between my supervisor and myself during my teaching training. The discussion concerned the appropriateness of allowing students make films with sexual content. Film gives young people the opportunity to express their feelings and broaden their views. If the film then disseminates to unknown people via in-ternet, which it most likely will do, maybe it is no longer so positive. The aim of this study is to shed light on various aspects of identity and ethics that are important to keep in mind when young people in school make films. These aspects are to avoid making young people vulnerable to abuse and improper influence. One aim is also to highlight the advantages of making films in school. The study is inspired by hermeneutic interpretive and based on qualitative interviews. The informants are four students at the age of 18-19 at two different schools in one municipality in Sweden.The results of the study show that it is important for the informants that the films are pro-duced in an aesthetically good way so that it appeals to the audience. Two of the infor-mants have a specific audience and make more conscious choices, so that the audience will understand what is said. The study shows that the more a filmmaker considers the audi-ence, the more consciously he or she uses film as communication. To get positive feedback is important, but it is mostly friends of the filmmakers that actually comment. To get nega-tive comments is regarded as a disadvantage when placing material on the internet. Howev-er, none of the informants in the study have received negative comments on what has been posted. The opinions about what the informants believe is inappropriate to post on inter-net or to make films about regards sexuality and violations. Earlier studies show that mate-rial can, because it is interesting to other people, become widespread. For this reason it is important for teachers to have conversations with students about their preferences and opinions on various issues. Adults need to interfere in the young people's world, while be-ing open to their opinions. Then the young people's value system will be built up and give them a safe tool that helps them to avoid improper influence.

Förståelse, bedömningar och hjälpinsatser : Socialarbetares arbete med män som våldsoffer

This report outlines the background to, and presents the results from the Crime Victim Compensation and Support Authority funded project "Social Workers' understanding of men as victims of crime". The project aimed at describing and analyzing how social workers understand and work with male victims of violence. More precisely, the research has focused on how social workers describe men's vulnerability and how they understand men's needs for assistance, what assistance that is provided and the way the constellations of perpetrators and victims of different gender and contexts in which the violence occurs in affect the understanding of male victims of violence. The study has also been devoted to the question of whether the Support Centers for young crime victims in Sweden provide different types of and different amount of help to young men and women afflicted of violence. The project was conducted in three substudies. The results from substudy 1 show that more young men than women seek support from the Support centers studied. Men predominate in number of cases and in the different categories of crime. The results also show that young men on average receive less assistance over a shorter average duration than young women. This applies irrespective of the category of offense that the vulnerability applies to. Furthermore, the young men, compared to the women, proportionally receive fewer interventions characterized as support and a greater proportion of interventions in the form of information. The results also show that the young men are referred on for further action to a lesser extent than is the case for women. The results from substudy 2 show that social workers tend to focus on whether, and to what extent, young men who are victims of violence themselves have behaved provocatively before the violence incident and if they have put themselves in a social situation that could be interpreted as having contributed to an escalation of the violence they have been subjected to. The results from substudy 2 also show that social workers talk about the men as active in the violent situations they have been involved in and dwell on the extent to which the young men's own actions have contributed to the violence. The results also show that young men who are victims of violence are described as "reluctant" victims who are trying to cope with their situation on their own without the involvement of professional or other helper. The young men are also described as reluctant to talk about their feelings. The results of substudy 3 show that social workers believe that young men, when they become victims of violence, risks losing their sense of autonomy, initiative and decisiveness, that is, attributes that are often linked to the dominating cultural image of masculinity. Furthermore, the results show that social workers estimate that men's practicing of their masculinity, but also the response that men who are traumatized get from society, creates difficulties for them to get help. The results from substudy 3 also shows that attributes and actions that can be connected to the masculinity of young men's, as well as a lack of such attributes and actions are considered to be adequate explanations for the violence the men has suffered. When it comes to violence in public places it is the masculinity that explains the violence and its escalation. When it comes to domestic violence it is the lack of expected male attributes and actions that are used as explanations for the violence that have occurred. The discussion is devoted to the question of how the results should be understood based on the concepts of self-performance, interpretation, negotiation and categorizations, and the consequences the results obtained should have for gender sensitive social work given to abused men.

En sociologisk förståelse av förlåtelse och försoning

Forgiveness and reconciliation in a sociological context Are forgiveness and reconciliation left to the theologians to define or can these concepts also be genuine concepts in sociology? In spite of the fact that sociology and social psychology have a lot of research about relationship, interaction and groups, there is not much research about forgiveness and reconciliation. This article presents the understanding of how relations can be revived, if once broken, if using these conceptions. The discussion also includes the concepts of shame and guilt and even confidence, particularly in relations where you find victim and perpetrator. The discussion is developed in a perspective of symbolic interactionism with examples from sociological research about men´s violence against women and adults, especially fathers, abuse to their daughters. In this article the perpetrator feels guilt and the victim shame and the feeling of guilt makes the perpetrator to ask for forgiveness. When hate and hard feelings have come to an end, the reconciliation can occur as a consequence of the forgiveness.

Att göra sig anställningsbar : Om instrumentella identitetspositioner och könad säljbarhet

To make oneself employable – instrumental identity positions and gendered marketability. The article takes up the question of the negotiation of expert discourses in career advice and constructing the self in the practice of CV writing. Drawing on data from semi-structured interviews with 19 students (11 women and 8 men) the stories about job search are analyzed. The concept of discursive positioning is used in order to analyze how the students position themselves in relation to career advice and position the self in CV writing. The results show that the female students had difficulties embodying the position as a marketing self as they described it as conflicting with feelings of ‘who they were’. ‘Being you’ in CVs and job interviews is, further, an ideal that is negotiated in relation to what to display as a job-seeking subject. CV writing involves a process of identifying suitable characteristics in an instrumental manner, but it is also combined with an introspective reasoning and identification to find ‘authentic’ strengths and characteristics in ‘who you are’.

Lek och empowerment : de alternativa rummens roll i sociala rörelser

Play and empowerment: the role of alternative spaces in social movements The article examines the role played by alternative space in social movements and argues that it plays a crucial role in counter-acting feelings of powerlessness and facilitating the empowerment of subaltern groups. Alternative space is defined – using Benjamin’s notions ofshock, nature and history – as constituted by forms of interaction in which society is made to appear as history. To facilitate empowerment, alternative space must, firstly, provide a place for subaltern groups in which they are no longer subordinated; secondly, instill hope that social change is possible and encourage such change; and, thirdly, expand or consolidate alternative space itself. These tasks can easily enter into conflict with each other, since they sometimes appear to require alternative space to adopt more ”abstract” forms of interaction in which aspects of the social situation are bracketed and sometimes more ”concrete”ones in which such aspects are again given attention. In order to study how movements may relate to this difficulty, the article looks at three contemporary Japanese social movements with NAM, New Start / New Start Kansai and the General Freeter Union as central organizations. Only the third successfully combines the three tasks, in large measure through its skillful use of the play-element.